NUR 315 Exam 3 - Postpartum Birth Control Options

Progestin only pills

• Norethindrone

• No estrogen included

• Recommended for postpartum and breastfeeding moms

• Take the same time every day, 3 hours late = another method

Estrogen + progestin options

• Pill, patch, or ring

• Same time every day, week or month

• Estrogen containing which is contraindicated in postpartum (increased risk of blood clots) and breastfeeding (lower supply)

Birth control injection

• Depot medroxyprogesterone acetate (DMPA)

• Safe for breastfeeding and postpartum

• Injection every 3 months

• Has been reported to cause weight gain

Contraceptive implant

• Considered a long-acting reversible contraception

• Nexplanon

• Must be placed by provider

• Replaced after 3 years

Copper intrauterine device (IUD)

• Long-acting reversible contraception

• Paragard

• Good for 10 years

• Non-hormonal

• Prevents sperm from meeting egg

• 99.2%

Hormonal intrauterine device (IUD)

• Long-acting reversible contraception

• Kyleena, Mirena

• Ovulation suppression and thickens cervical mucus

• 3-6 years before replacement

• 99.8%

Barrier method

• Condoms

• Must be used with every act of intercourse

• Prevent STIs

Lactational amenorrhea method

• Based on the premise that lactation prevents ovulation

• Must be <6 months postpartum and feeding frequently

• No supplementation